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Full text of "Rapid Population Growth Consequences And Policy Implications"

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TABLE 10 Maternal Deaths from Legal Abortion, Japan, 1950-1963
Period	Legal Abortions	Maternal Deaths from Abortion	Case Fat; Ratio/ 1 Abortic
1950-53 1954-58 1959-63	2,994,000 5,723,000 5,138,000	253 334 210	0.008 0.005 0.004
Source: (82).
tic abortion. Abortion mortality for sanctioned operations has decrease Switzerland, although not to the same extent as in countries with permi abortion laws. Cloeren and Mall-Haifeli (81) report that while the rat abortion to births has increased from 1:20 in 1900 to 1:8 in 1960-1963 case fatality ratio decreased from 2 percent (1921-1946) to 0.13 pej (1947-1961).*
United States. Abortion statistics in the United States are disappoint inadequate. The risks of therapeutic abortions are obviously much less those labelled "criminal" despite the fact that women who seek abortic medical grounds are more often poorer surgical risks than women who abortion outside the law for nonmedical reasons. In the Professional A ities Survey, or PAS (84), or 269 U.S. hospitals in 1963 and 321 hospit; 1964 and 384 in 1965, the records revealed a total of 2,007 therap abortions. Two deaths were recorded, producing a case fatality rate o proximately 0.1 percent. This rate is 25 times the officially computed n Japan and 100 times that in many eastern European countries, despit efficiency of modern hospitals—no doubt because therapeutic cases are : complicated.
The case fatality rate for criminal abortion is unknown but is estimat range from 0.5 to 1 percent, based on 5,000 to 10,000 deaths precipitate an alleged annual 1 million or more illegally performed operations (62). \ ever the actual figure may be, it is a fact that criminal abortion is respor for a major proportion of maternal deaths in the United States. Its sh; increased as other causes of maternal mortality are becoming more coi lable. A California study (85), 1955-57, found deaths from abortion to 1 percent of maternal mortalities. Guttmacher (86) found in the 1961 re< of the New York City Health Department that 47 percent of maternal cl in metropolitan New York were the result of illegal abortions. A 20
*For a discussion of the United Kingdom, as of 1966, see (83).rtion in western nations with rictive laws varies according to the degree of liberality in interpreting the >, the place where abortion is performed, the stage of gestation, and the th of the woman. The fatality rate is declining in many countries where ;titioners are skilled and the use of antibiotics is common practice, n Switzerland, for example, the abortion laws have been interpreted rally in recent years. A large number of reasons are accepted for therapeu- in this line. See also J. D. Wray, "Population Pressure on Families: Family Size and Child Spac-